Individual provider · Type 1 NPI

Matthew Liceralde Elloso, MD

Internal Medicine Physician · Grand Rapids, MI

NPI number 1447563150 Active

Practice location

100 Michigan St NE, Suite A721
Grand Rapids, MI 49503-2560

Call (616) 391-3139 Map

Fax (616) 391-3044

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X4301096516 (MI)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1447563150

Matthew Liceralde Elloso, MD's National Provider Identifier is 1447563150, issued on Jul 22, 2010. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 28, 2021.